| NPI | 1437914108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA HATLEY Co Owner/Operator/Tech 573-300-5394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2024-02-20 |
| Last Update Date | 2024-02-20 |